Adequacy of the Comprehensive Clinical Evaluation Program A Focused Assessment (1997) / Chapter Skim
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6 Conclusions and Recommendations
6 Conclusions and Recommendations
Pages 45-52
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From page 45... ...
The committee believes that such change is healthy, that it reflects growth, and that it should be a natural part of any system having as one of its goals the delivery of high-quality health care services. Change also occurs with individuals.
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From page 46... ...
However, since most of the recommended treatments for medically unexplained symptom syndromes overlap with the pharmacological and behavioral treatments for psychological conditions or psychiatric diagnoses, the committee believes that it is important to identify and evaluate the symptoms associated with these conditions and then treat those symptoms. The committee recommends that when patients presenting with medically unexplained symptom syndromes are evaluated, the provider must have access to the full and complete medical record, including previous use of services.
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From page 47... ...
The committee recommends that the CCEP be encouraged to identify patients in this spectrum of illnesses early in the process of their disease. In addition, primary care providers should identify the patients' functional impairments so as to be able to suggest treatments that will help improve these disabilities.
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From page 48... ...
The committee recommends that DoD provide to each about-to-be deployed soldier risk or hazard communication which is well developed and designed to provide information regarding what the individual can expect and the potentially traumatic events to which he or she might be exposed. The committee wishes to emphasize that the accurate diagnosis of patients win medically unexplained symptom syndromes and/or conditions induced or exacerbated by upsetting events requires the expenditure of time, time in which the provider and the patient interact.
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From page 49... ...
However, the committee believes that there are those who have some of the symptoms of PTSD or of depression but are not true PTSD cases yet might be helped with treatment of their symptoms. The committee recommends that any individual who reports any significant PTSD symptoms and/or a significant traumatic stressor should be referred to a qualified mental health professional for further evaluation and treatment.
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From page 50... ...
The committee recommends that a short-term plan (perhaps 5 years) be developed for the Specialized Care Center that would specify goals and expected outcomes.
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From page 51... ...
The committee recommends that depression be a topic of education for all primary care providers, with emphasis on the facts that depression is common, it is treatable, and individuals who experience depression can continue to function. The committee wishes to reemphasize the fact that the CCEP is not a research protocol but rather a program designed to diagnose the health problems of those who served in the Persian Gulf.
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From page 52... ...
In addition, a tremendous amount of qualitative information could be used in developing case studies to help providers better understand diagnostic and treatment approaches that appear effective at improving individual patients' conditions. The committee recommends that CCEP information be used to develop case studies that will help educate providers about Persian Gulf health problems.
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